Public Source Registry

Social Security will pay only 77% of benefits starting in 2032.

Source

2026 OASDI Trustees Report — Summary (Social Security Administration)

Table IV.A1. Scheduled benefits payable at 78% from 2032 onward under intermediate assumptions. Figure rounded conservatively to 77% consistent with prior Trustees language.

Social Security is projected to be underfunded by $477 billion per year starting in 2032.

Source Derived

2026 OASDI Trustees Report — Table IV.A1 (Social Security Administration)

Derived: 22% benefit cut × $2,166.3B scheduled annual benefits = $476.6B ≈ $477B.

More than 70 million Social Security beneficiaries.

Source

2026 OASDI Trustees Report — Table V.C4 (Social Security Administration)

In 2033, Medicare will pay only 89% of projected benefits.

Source

2026 Medicare Trustees Report — Summary (Centers for Medicare & Medicaid Services)

HI Trust Fund (Part A) depletion projected 2033; 89 cents on the dollar payable thereafter from incoming revenues.

Medicare shortfall estimated at least $85 billion in 2033.

Source

2026 Medicare Trustees Report — Table III.B4 (Centers for Medicare & Medicaid Services)

Nearly 79 million Medicare beneficiaries.

Source

2026 Medicare Trustees Report — Table V.B3 (Centers for Medicare & Medicaid Services)

Congress has been officially warned by law for the last nine years that Medicare is underfunded.

Source

Summary of the 2026 Annual Reports — Medicare Funding Warning (Social Security Administration)

Nine consecutive Medicare Funding Warnings issued under the Medicare Modernization Act, requiring presidential action. Congress has not acted.

Combined Social Security + Medicare annual shortfall of approximately $562 billion.

Source Derived

2026 OASDI and Medicare Trustees Reports (Social Security Administration / CMS)

$477B (Social Security) + $85B (Medicare HI) = $562B. Conservative; excludes SMI (Parts B & D), which are automatically funded by general Treasury revenues.

U.S. national debt projected at more than $46 trillion in 2033.

Source

CBO — Budget and Economic Outlook, May 2023 Update, Table 1 (Congressional Budget Office)

CBO projects Debt Held by the Public at $46,709 billion ($46.7 trillion) in 2033. "More than $46 trillion" is conservative against this figure.

Congress has long enabled drug companies to charge roughly four times what peer nations pay for the same brand-name drugs.

Source

RAND Corporation — International Drug Price Comparison (RRA788-3, 2024)

RAND RRA788-3 documents U.S. brand-name drug prices at 422% of peer-nation averages (gross); net-adjusted differential used in $7T derivation.

$7 trillion taken from the American public over 25 years in excessive drug pricing.

Source Derived

CMS National Health Expenditure Data + RAND RRA788-3 (2024) (1998–2022)

CMS NHE retail prescription drug spending 1998–2022 in 2022 dollars: $8.36T. Scaled to full U.S. drug market via IQVIA-to-NHE ratio (1.52×, per RAND). Share-weighted using RAND's net-adjusted brand differential (308%), with generic savings credited. Yield: $6.97T ≈ $7T. Conservative by construction.

43 percent of adults report not taking medications as prescribed because of cost.

Source

KFF Health Tracking Poll — Prescription Drug Costs (Kaiser Family Foundation)

More than 100 million Americans are uninsured, underinsured, or carrying medical debt.

Source

Commonwealth Fund — Underinsured Report; U.S. Census Bureau — Health Insurance Coverage

$220 billion in medical debt.

Source

JAMA — Medical Debt in the United States (Himmelstein et al.)

The system overcharged Americans $40 trillion over 25 years.

Source Derived

CMS National Health Expenditure Data vs. OECD Health Statistics (peer-nation per-capita spending)

U.S. per-capita health spending compared to the average of comparable OECD nations (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland, U.K.), applied to U.S. population 1999–2024.

U.S. ranks dead last among peer nations in access and quality.

Source

Commonwealth Fund — Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System

$175 trillion of unfunded obligations for generations X, Y, Z, and Alpha.

Source

U.S. Treasury — Fiscal Year 2024 Financial Report of the United States Government

Social insurance net present value obligations (Medicare + Social Security) as reported in the Treasury Financial Report. Excludes national debt to avoid double-counting.